E311 - Declaration Card

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Protected A when completed

Instructions

All travellers can be identified on a Canada Border Services Agency (CBSA) Declaration Card. You may list up to four people living at the same address on one card. Each traveller is responsible for his or her own declaration. Each traveller is responsible for reporting currency and/or monetary instruments totaling CAN$10,000 or more that are in his or her actual possession or baggage.

Under the law, failure to properly declare goods, currency and/or monetary instruments brought into Canada may result in seizure action, monetary penalties and/or criminal prosecution.

Information provided is collected under the authority of Section 12 of the Customs Act to facilitate compliance with the traveller’s obligation with Subsection 5(3), Reporting of Imported Goods Regulations, and enables the collection of duty and taxes payable on imported goods. This information may be disclosed to other government departments and agencies, police forces and other Countries to administer or enforce Canadian Legislation.

Individuals have the right of access to and/or can make corrections of their personal information under the Privacy Act. The information is described within Info Source, Traveller Declaration Cards Personal information Bank CBSA PPU 018 at http://www.cbsa-asfc.gc.ca/.

Part B - Visitors to Canada

The following duty-free allowances apply to each visitor entering into Canada:

Part C - Residents of Canada

Each resident returning to Canada is entitled to one of the following personal (include all goods and/or gifts purchased or received abroad):

Alcohol and tobacco table

1.5 L of wine or 1.14 L of liquor or
24 x 355 ml cans or bottles (8.5 L) of beer or ale. (You must be of legal age in the province of importation.)

200 cigarettes, 200 tobacco sticks, 50 cigars or cigarillos and 200 grams of manufactured tobacco (Special Duty may apply).

Declaration Card

Part A  All travellers (living at the same address)

Please print in capital letters. 

  1. Last name, first name and initials
    Date of birth: YY - MM - DD
    Citizenship:
  2. Last name, first name and initials
    Date of birth: YY - MM - DD
    Citizenship:
  3. Last name, first name and initials
    Date of birth: YY - MM - DD
    Citizenship:
  4. Last name, first name and initials
    Date of birth: YY - MM - DD
    Citizenship:

Home address

Arriving by:

Airline/Flight No., train No. or vessel name

Purpose of trip:

Arriving from:

I am/we are bringing into Canada: Yes/No

I/we have unaccompanied goods. (Yes/No)

I/we have visited a farm and will be going to a farm in Canada. (Yes/No)

Part B - Visitors to Canada

Part C - Residents of Canada

Complete in the same order as Part A 

  1. Date left Canada YY - MM - DD 
    Value of goods – CAN$ purchased or received abroad (including gifts, alcohol & tobacco) 
  2. Date left Canada YY - MM - DD 
    Value of goods – CAN$ purchased or received abroad (including gifts, alcohol & tobacco) 
  3. Date left Canada YY - MM - DD 
    Value of goods – CAN$ purchased or received abroad (including gifts, alcohol & tobacco) 
  4. Date left Canada YY - MM - DD 
    Value of goods – CAN$ purchased or received abroad (including gifts, alcohol & tobacco) 

Part D  Signatures (age 16 and older):

I certify that my declaration is true and complete. 

  1. Signature
    YY - MM - DD 
  2. Signature
    YY - MM - DD 
  3. Signature
    YY - MM - DD 
  4. Signature
    YY - MM - DD 
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